FDA Adverse Event Other Summary report: N

BOARD URETEROSCOP. STONE BK

MDR report key: 43357 · Received October 14, 1996

Report

Report Number
1018233-1996-00005
Event Type
Other
Date Received
October 14, 1996
Date of Event
September 18, 1996
Report Date
October 11, 1996
Manufacturer
C.R. BARD, INC.
Product Code
FFL
Adverse Event
Yes
Report Source
Manufacturer report
Reporter Location
NC, US
Reporter Occupation
NURSE

Narratives

Description of Event or Problem · 1

DURING A STONE REMOVAL PROCEDURE AND WHEN ATTEMPTING TO PASS A URETEROSCOPIC STONE BASKET THROUGH THE URETER WITHOUT THE USE OF URETEROSCOPE, THE PT'S URETER WAS PERFORATED. THE DR REMOVED THE BASKET, PLACED A MINISCOPE, SAW STONE AND RE-ENTERED URETER WITH SAME BASKET. STONE FELL THROUGH TEAR IN URETER. URETERAL STENT PLACED UNTIL URETER HEALS. DR ALLEGED TIP TOO SHARP.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
1 BOARD URETEROSCOP. STONE BK STONE BASKET FFL C.R. BARD, INC. NA 03LEA513

Patients

Seq Age Sex Outcome Treatment
1 UNKNOWN Other